TERRA D RUDD PA NPI 1205041241

NPI Information

  • NPI: 1205041241
  • Provider Name: TERRA D RUDD, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 BROWN ST
    CHESTERTOWN, MD
    ZIP 21620
  • Phone: (410) 778-7668

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NPI Details

Terra D Rudd, PA is a medical physician assistant in Chestertown, MD. Terra D Rudd, PA NPI is 1205041241. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 BROWN ST
CHESTERTOWN, MD
ZIP 21620-435
Phone: (410) 778-7668
Fax: (410) 810-7186

The NPI 1205041241 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Emergency department visit for problem of mild to moderate severity (HCPCS:99282)

The enumeration date for this NPI number is 5/12/2007 and was last updated on 8/21/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical0010-01645NORTH CAROLINANo
2363A00000XPhysician Assistant0649SOUTH DAKOTANo
3363AM0700XPhysician AssistantMedicalC0005108MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10010-01645OTHERNORTH CAROLINASTATE MEDICAL LICENSE
2C0005108OTHERMARYLANDPHYSICIAN ASSISTANT STATE LICENSE
30649OTHERSOUTH DAKOTALICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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